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Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
Active
Organization
SHANDS JACKSONVILLE MEDICAL CENTER INC
Active
Parent organization
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Other names
Shands Jacksonville Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANDS JACKSONVILLE MEDICAL CENTER, INC.
Authorized official
MR. MICHAEL E GLEASON (VP OF FINANCE AND TREASUER)
(904) 244-8675
Entity
Organization
Contact information
Practice address
580 W 8TH ST, SUITE 9009, JACKSONVILLE, FL 32209-6533
(904) 244-9900
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-8675
(904) 244-4027
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20063096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028146800
—
FL
Enumeration date
09/27/2006
Last updated
07/22/2024
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